Ask Proactive – Our facility has been issued a Denial of Payment for new admissions due to survey deficiencies. Should we continue to submit the MDS for current and newly admitted residents?

by | Aug 4, 2025 | Billing, Compliance, MDS, Reimbursement, Survey

Q: Our facility has been issued a Denial of Payment for new admissions due to survey deficiencies. Should we continue to submit the MDS for current and newly admitted residents?   A: A Denial of Payment for new admissions (DPNA) is a CMS enforcement remedy that...

Ask Proactive – A resident was admitted with a diagnosis of acute on chronic respiratory failure requiring a new tracheostomy. The trach was placed during the hospital stay and the resident continues to require suctioning, respiratory monitoring, and oxygen therapy here in the SNF. Would we use the respiratory failure or presence of tracheostomy as the primary diagnosis?

by | Jul 30, 2025 | Coding, ICD.10, MDS, Medicare, Nursing, SNF

Q: A resident was admitted with a diagnosis of acute on chronic respiratory failure requiring a new tracheostomy. The trach was placed during the hospital stay and the resident continues to require suctioning, respiratory monitoring, and oxygen therapy here in the...

Ask Proactive – I recently started working as the MDS coordinator at a facility. MDS assessments have been scheduled, but no one completed them. What should I do to get back in compliance?

by | Jun 18, 2025 | Compliance, MDS, Medicare, Staffing

Q: I recently started working as the MDS coordinator at a facility. MDS assessments have been scheduled, but no one completed them. What should I do to get back in compliance?   A: 1. Assess the Extent of the Delay Identify how many assessments are overdue and...